Results

Total Results: 239 records

Showing results for "answers".

101. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. | PSNet
     psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
     March 15, 2023 - Checklists should provide answers to the basic questions of “who, what, where, when and how.”

102. Safety in Radiology | PSNet
     psnet.ahrq.gov/perspective/safety-radiology
     October 01, 2013 - Safety in Radiology Antonio Pinto, MD, PhD | October 1, 2013  Also Read a Conversation View more articles from the same authors. Citation Text: Pinto A. Safety in Radiology. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departm…

103. Effective implementation of work-hour limits and systemic improvements. | PSNet
     psnet.ahrq.gov/issue/effective-implementation-work-hour-limits-and-systemic-improvements
     September 28, 2010 - Study Classic Effective implementation of work-hour limits and systemic improvements. Citation Text: Landrigan CP, Czeisler CA, Barger LK, et al. Effective implementation of work-hour limits and systemic improvements. Jt Comm J Qual Patient Saf. 2007;33(11 Suppl…

104. Preventing medication errors in long-term care: results and evaluation of a large scale web-based error reporting system. | PSNet
     psnet.ahrq.gov/issue/preventing-medication-errors-long-term-care-results-and-evaluation-large-scale-web-based
     June 15, 2011 - Study Preventing medication errors in long-term care: results and evaluation of a large scale web-based error reporting system. Citation Text: Pierson S, Hansen RA, Greene SB, et al. Preventing medication errors in long-term care: results and evaluation of a large scale web-based error…

105. Moving beyond the weekend effect: how can we best target interventions to improve patient care? | PSNet
     psnet.ahrq.gov/issue/moving-beyond-weekend-effect-how-can-we-best-target-interventions-improve-patient-care
     September 09, 2015 - Commentary Moving beyond the weekend effect: how can we best target interventions to improve patient care? Citation Text: Marang-van de Mheen PJ, Vincent CA. Moving beyond the weekend effect: how can we best target interventions to improve patient care? BMJ Qual Saf. 2021;30(7):525-528. …

106. NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit. | PSNet
     psnet.ahrq.gov/issue/nicu-medication-errors-identifying-risk-profile-medication-errors-neonatal-intensive-care
     September 21, 2008 - Study NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit. Citation Text: Stavroudis TA, Shore AD, Morlock L, et al. NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit. J Pe…

107. Temporal trends in rates of patient harm resulting from medical care. | PSNet
     psnet.ahrq.gov/issue/temporal-trends-rates-patient-harm-resulting-medical-care
     April 04, 2011 - Study Classic Temporal trends in rates of patient harm resulting from medical care. Citation Text: Landrigan CP, Parry G, Bones CB, et al. Temporal trends in rates of patient harm resulting from medical care. N Engl J Med. 2010;363(22):2124-34. doi:10.1056/NEJ…

108. Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm. | PSNet
     psnet.ahrq.gov/issue/anticoagulant-medication-errors-nursing-homes-characteristics-causes-outcomes-and-association
     December 15, 2011 - Study Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm. Citation Text: Desai RJ, Williams CE, Greene SB, et al. Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with…

109. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. | PSNet
     psnet.ahrq.gov/issue/personal-protective-equipment-preventing-highly-infectious-diseases-due-exposure-contaminated
     April 23, 2014 - Review Classic Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. Citation Text: Verbeek JH, Rajamaki B, Ijaz S, et al. Personal protective equipment for preventing highly infe…

110. Missing ECG and Missed Diagnosis Lead to Dangerous Delay | PSNet
     psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
     March 01, 2015 - Missing ECG and Missed Diagnosis Lead to Dangerous Delay Citation Text: O'Connor RE. Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: G…

111. Tackling ambulatory safety risks through patient engagement: what 10,000 patients and families say about safety-related knowledge, behaviors, and attitudes after reading visit notes. | PSNet
     psnet.ahrq.gov/issue/tackling-ambulatory-safety-risks-through-patient-engagement-what-10000-patients-and-families
     March 20, 2017 - Study Tackling ambulatory safety risks through patient engagement: what 10,000 patients and families say about safety-related knowledge, behaviors, and attitudes after reading visit notes. Citation Text: Bell SK, Folcarelli P, Fossa A, et al. Tackling Ambulatory Safety Risks Through Pati…

112. Lost in the Black Hole | PSNet
     psnet.ahrq.gov/web-mm/lost-black-hole
     December 01, 2005 - Lost in the Black Hole Citation Text: Wachter R. Lost in the Black Hole. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

113. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps | PSNet
     psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
     April 24, 2018 - The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps Citation Text: Sauder C, Kleber KT. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy …

114. Bad Writing, Wrong Medication | PSNet
     psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
     March 01, 2015 - Facts & Comparisons e-Answers. New York, NY: Wolters Kluwer Health; 2010. [Available at] 21.

115. EMS Perils from Hospital Overcrowding | PSNet
     psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
     November 25, 2020 - EMTALA Field Guide: Quick Risk and Compliance Answers . Third Edition.

116. Establishing a Safety Culture: Thinking Small | PSNet
     psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
     December 01, 2006 - We continue to have this old world mentality where we expect one person to have all the answers.

117. In Conversation With… Mark Graban, MS, MBA | PSNet
     psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
     January 01, 2015 - The role of the leader changes from the person who has all the answers and makes all the decisions to

118. Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care | PSNet
     psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
     January 01, 2015 - The role of the leader changes from the person who has all the answers and makes all the decisions to

119. An American View of the UK's Patient Safety Enterprise: Top Down vs. Bottom Up | PSNet
     psnet.ahrq.gov/perspective/american-view-uks-patient-safety-enterprise-top-down-vs-bottom
     December 01, 2005 - An American View of the UK's Patient Safety Enterprise: Top Down vs. Bottom Up Robert M. Wachter, MD | June 1, 2012  View more articles from the same authors. Citation Text: Wachter R. An American View of the UK's Patient Safety Enterprise: Top Down vs. Bottom Up. …

120. A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis | PSNet
     psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
     January 13, 2010 - associated with anticoagulation, studies of patients at risk for venous thromboembolism do not provide clear answers